Reviewed by the Linked Anchor Allied Health clinical team · Last reviewed
Signs that may need assessment
- Coughing, choking or a wet voice during or after meals
- Food or drink coming back out of the mouth or nose
- Meals taking much longer than usual, or avoiding certain foods
- Unplanned weight loss or repeated chest infections
If someone is choking or has trouble breathing, call 000 straight away.
What the speech pathologist does
A speech pathologist observes the person eating and drinking, reviews their history and identifies safe food and drink textures, positioning, equipment and pace. Recommendations generally use the IDDSI framework so everyone uses the same texture terms.
What a mealtime management plan includes
- Recommended food and drink textures
- Seating and positioning
- Utensils, cups or other equipment
- How much assistance is needed and the pace of eating
- What to do if the person shows signs of difficulty
A plan only works if it is followed. We train families and support staff, and a local Allied Health Assistant can help reinforce the plan between speech pathology reviews. Occupational therapists may also help with seating and adaptive equipment.
This guide is general information only and is not individual clinical, legal or funding advice. Funding is subject to eligibility and plan rules.